Healthcare Provider Details

I. General information

NPI: 1265156848
Provider Name (Legal Business Name): MED DRIP WOUND CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2022
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 110 KM 29.4 BO SAN ANTONIO
AGUADILLA PR
00603
US

IV. Provider business mailing address

CALLE L-118 BASE RAMEY
AGUADILLA PR
00603
US

V. Phone/Fax

Practice location:
  • Phone: 787-890-5697
  • Fax:
Mailing address:
  • Phone: 787-890-5697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CRISTINA M CHAPARRO MORALES
Title or Position: PRESIDENT
Credential: MD
Phone: 787-658-6054